24D1043000 CLIA NUMBER - FAMILY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 24D1043000
  • Facility Name: FAMILY SURGERY CENTER LLC
  • Facility Address: 1801 19TH AVENUE SW
    WILLMAR, MN
    ZIP 56201
  • Facility Phone: 320 235-7700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. FISCHER
  • NPI Number: 1831200120
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1043000
LAB Type Ambulatory Surgery Center
Facility Name FAMILY SURGERY CENTER LLC
Street 1801 19TH AVENUE SW
City WILLMAR
State MN
ZIP 56201
Phone 320 235-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY L. FISCHER

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This page was last updated on: 9/29/2025